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Individual

DR. PETER L KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2245 GARRETT RD, DREXEL HILL, PA 19026-1101
(610) 623-1599
Mailing address
1006 SUGARTOWN RD, BERWYN, PA 19312-1800
(610) 296-7657

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002869L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010971100001
PA
01
003563
BLUE SHIELD PROVIDER I.D.
PA
01
0060355000
KEYSTONE HPE I.D.
PA
01
0109711002
AMERICHOICE I.D.
PA
01
01991
HEALTH PARTNERS I.D.
PA
01
0921260002
NHIC PROVIDER I.D.
PA
01
31747
KEYSTONE MERCY HEALTH
PA
01
325
ELDER HEALTH I.D.
PA
01
48006220
RAILROAD MEDICARE I.D.
PA
01
55554
U.S. HEALTHCARE I.D.
PA
01
J03563
AMERIHEALTH PROVIDER ID
PA
Enumeration date
08/31/2006
Last updated
07/24/2013
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